Simulation-based training to teach open abdominal aortic aneurysm repair to surgical residents requires dedicated faculty instruction

Abstract

An AAA-specific simulation training course improved resident performance in simulated open AAA repair. Dedicated faculty instruction during the simulation training was required for significant improvement in resident performance. The impact of simulation training was greatest in more junior residents. Procedure-specific simulation training with dedicated faculty can be used to effectively teach simulated open AAA repair.

Comparison of the integrated vascular surgery resident operative experience and the traditional vascular surgery fellowship

“…Much interest has been drawn toward open aortic surgical volume and its adequacy in training residents. [7][8][9][10] Sternbergh et al 9 found that the advent of endovascular aneurysm repair (EVAR) brought with it a few significant changes in aneurysm operative exposure. Significantly, general surgery residents' exposure to open abdominal aortic aneurysm repair fell, whereas vascular trainees had an increased exposure to aortic surgery (specifically related to EVAR), and (although not statistically significant) institutional open, nonsuprarenal abdominal aortic aneurysm repair fell 38%.…”

“…Means to evaluate clinical skills include workplace-based assessments, operative performance rating systems, and simulation-based surgical models. 3,8 Regardless of the method used, we must find a way to ensure the quality of the product produced by this new training paradigm, with the hope that this quality can be standardized across the country.…”

Learning Curve Analysis to Determine Operative Requirements for Young Vascular Surgeons Learning Open Abdominal Aortic Aneurysm Repair

“…A previous study revealed that simulation-based training works well to improve open AAA repair skills. 8 Another study reported that a surgeon's case volume is associated with in-hospital deaths after OS for AAA. 9,10 However, few studies concerning the relationship between clinical experience and surgical skill improvement Learning Curve Analysis for Open AAA Repair reconstruction if the size exceeded 2.0 cm.…”

Impact of visualization on simulation training for vascular anastomosis

“…Although this apprenticeship model has formed the backbone of most surgical residency training programs, multiple constraints limit this approach and can threaten the learning of operative skills. 1 Implementation of work-hour restrictions has significantly reduced clinical exposure and educational opportunities. 1-3 Furthermore, with growing public scrutiny of surgical outcome and an increasing complexity of surgical cases, surgeons are less inclined to engage residents, particularly in the face of time to complete a surgical procedure safely and efficiently.…”